JILL CHRISTINE GOODMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

JILL

Middle

CHRISTINE

Last Name

GOODMAN

Business Name

JILL CHRISTINE GOODMAN MD

Original Issue Date

04/19/2016

Effective Date

04/19/2016

Expiration Date

07/31/2017

City

CORALVILLE

State

Zip

52241

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017